Columbiana Clinic Llc | |
22266 Highway 25 Columbiana AL 35051-8618 | |
(205) 669-3138 | |
(205) 669-8718 |
Full Name | Columbiana Clinic Llc |
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Speciality | Family Medicine |
Location | 22266 Highway 25, Columbiana, Alabama |
Authorized Official Name and Position | Anthony Ciulla (ADMINISTRATOR) |
Authorized Official Contact | 2056693138 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Columbiana Clinic Llc 22266 Highway 25 Columbiana AL 35051-8618 Ph: (205) 669-3138 | Columbiana Clinic Llc 22266 Highway 25 Columbiana AL 35051-8618 Ph: (205) 669-3138 |
NPI Number | 1356492904 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 11/14/2019 |
Medicare PECOS PAC ID | 7810967320 |
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Medicare Enrollment ID | O20040730000267 |
Identifier | Type | State | Issuer |
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1356492904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jeffrey S Davidson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619920451 PECOS PAC ID: 1456321991 Enrollment ID: I20040730000446 |
Provider Name | Anthony P Ciulla |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003868282 PECOS PAC ID: 9931001757 Enrollment ID: I20040730000487 |
Provider Name | Rhonda L Carter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386656262 PECOS PAC ID: 7416097886 Enrollment ID: I20091215000508 |
Provider Name | Blair Nicole Carmichael-lober |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710392550 PECOS PAC ID: 8224256052 Enrollment ID: I20140820001052 |
Provider Name | Megan V Bullard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366737884 PECOS PAC ID: 8325271844 Enrollment ID: I20140923001823 |
Provider Name | Jana Grier |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285903112 PECOS PAC ID: 4486813375 Enrollment ID: I20160413002405 |
Provider Name | Rachel H Davidson |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1255605606 PECOS PAC ID: 5294995056 Enrollment ID: I20160512000566 |
Provider Name | Sandra King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811651334 PECOS PAC ID: 2567851595 Enrollment ID: I20211113000235 |
Southern Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Highway 25 E, Columbiana, AL 35051 Phone: 205-669-4884 Fax: 205-669-4883 |